| NPI | 1184747032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 7963) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R6960) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2021-07-24 |